Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK MARTIN LONG, PH.D.
Active Sole ProprietorDR. JACK MARTIN LONG, PH.D. is a Clinical Social Worker healthcare provider located in CATONSVILLE, Maryland. NPI 1447296629 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · CATONSVILLE, MD
Registration Details
- NPI Number
- 1447296629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.103989918482 yrs)
- Last Updated
- Dec 12, 2011
- License
-
03068 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
720C MAIDEN CHOICE LNCATONSVILLE, MD, 212285940Browse MD providers · Browse ZIP 21228
- Phone
- 4107445499
- Fax
- 4104550894
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in CATONSVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. JOYCE ANN MCCAULEY | MSW LCSWC | 1003892530 |
| MS. ELAINE KAY NAHAI | — | 1770506172 |
| MS. LORRAINE PATRICIA STAWAS | LCSW-C | 1609881184 |
| MS. JENNIFER KATZEN MANSIR | LCSW-C | 1104919950 |
| MS. KEELEY MCCORMACK THOMAS | LCSW-C | 1700970787 |
| DR. CHERYL A DEPETRO | MSW,LCSW-C, DAC, LAC | 1023191418 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.